MEDICARE: HOPE PROGRESSIVE THERAPY SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1285342824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE PROGRESSIVE THERAPY SERVICES INC

Provider Business Mailing Address
First Line	:	14911 SW 88TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-1402
Country	:	US
Telephone Number	:	305-300-4673
Fax Number	:

Provider Business Practice Location Address
First Line	:	8950 SW 74TH CT # 2259
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-3171
Country	:	US
Telephone Number	:	786-363-0256
Fax Number	:	305-675-6116

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MIOVANNY MARTIN PEREZ
Credential	:
Telephone Number	:	305-300-4673

Provider Enumeration Date	:	11/14/2022
Last Update Date	:	12/02/2022

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